Effect of a health education intervention on intestinal parasitic infections in Bolivian children
| Autor: | C Halleux, V Lastrucci, Fabio Macchioni, Michele Spinicci, M J Caldes, Piero Olliaro, Simona Gabrielli, Alessandro Bartoloni, A L Villagran, Herlan Gamboa |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
washing hands
Sanitation parasitology sanitation media_common.quotation_subject Developing country parasitic diseases Washing hands hygiene Hygiene Intervention (counseling) Environmental health health education Medicine infections child developing countries intestines parasitic diseases sanitation infections knowledge acquisition hand health education hygiene parasitology washing hands risk reduction community risk reduction media_common child intestines business.industry Public Health Environmental and Occupational Health developing countries knowledge acquisition community Health education hand business |
| Zdroj: | European Journal of Public Health. 30 |
| ISSN: | 1464-360X 1101-1262 |
| DOI: | 10.1093/eurpub/ckaa166.690 |
| Popis: | Backgrounds Intestinal parasitic infections (IPI) are a major health issue for children of low- and middle-income countries. Water, sanitation and hygiene (WASH) practices are crucial for preventing IPI. The aim of the study was to evaluate the effects of a school-based health education intervention on handwashing behavior and IPI prevalence in children Methods This is a randomized intervention trial in 8 primary schools in rural communities over the course of 3 school years; preliminary results from the first two years of the trial are here presented. Schools were randomly selected and assigned in a 1:1 ratio to intervention or control (no intervention) groups. For each school year, the intervention included 14 school-based educational sessions and 2 skit events, involving children aged 8-12 years. Knowledge, attitude and practice questionnaire and handwashing at key events was assessed at the beginning and end of each school year. IPI prevalence was assessed with repeated cross-sectional parasitology surveys 12 months apart, involving a minimum of 50 children for each school Results At baseline, no significant differences between intervention and control schools were present in the proportion of children who washed their hands at key events (7.2% vs 9.3%, p = 0.28), in IPI (79.4% vs 75.3%, p = 0.3) and multiple parasitic infections (MPI) prevalences (47.6 vs. 38.6; p = 0.051). At the end of the second year, the percentage of children who washed their hands at key events was significantly higher in the intervention schools (75.4% vs 12.1%, p Conclusions A school-based health education intervention could achieve significant changes in hand-washing behaviors and reduction in the prevalence of IPI in children. The third year survey results are needed to confirm these findings Key messages An health education intervention on water, sanitation and hygiene (WASH) practices can reduce the risk of IPI infection in children. An health education intervention on water, sanitation and hygiene (WASH) practices could be configured as a sustainable long-term approach to intestinal parasitic infections control in children. |
| Databáze: | OpenAIRE |
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